after the nurse has finished teaching a patient who has a new prescription for exenatide byetta which patient statement indicates that the teaching ha

ATI RN

ATI Proctored Leadership Exam

1. After the nurse has finished teaching a patient who has a new prescription for exenatide (Byetta), which patient statement indicates that the teaching has been effective?

A. �I may feel hungrier than usual when I take this medicine.�
B. �I will not need to worry about hypoglycemia with the Byetta.�
C. �I should take my daily aspirin at least an hour before the Byetta.�
D. �I will take the pill at the same time I eat breakfast in the morning.�

Correct answer: C

Rationale:

2. What is the primary focus of case management in nursing?

A. Direct patient care
B. Resource management
C. Financial planning
D. Quality assurance

Correct answer: A

Rationale: The primary focus of case management in nursing is direct patient care, which involves providing and coordinating services for patients. While resource management, financial planning, and quality assurance are important aspects of healthcare, they are not the primary focus of case management. Resource management deals with optimizing resources, financial planning involves managing financial aspects, and quality assurance focuses on maintaining high standards of care.

3. What is the main purpose of a utilization review?

A. Evaluate patient outcomes
B. Ensure compliance with regulations
C. Reduce hospital readmissions
D. Assess financial impact

Correct answer: A

Rationale: The main purpose of a utilization review is to evaluate patient outcomes and ensure that patients receive appropriate care based on medical necessity and quality standards. While ensuring compliance with regulations, reducing hospital readmissions, and assessing financial impact are important aspects of healthcare management, the primary goal of utilization review is to focus on the quality and effectiveness of patient care.

4. A nurse is assessing a client who received an IV fluid bolus for dehydration. Which of the following findings should the nurse identify as an indication of fluid volume excess?

A. Hypotension
B. Distended neck veins
C. Slow capillary refill
D. Weak, thready pulse

Correct answer: B

Rationale: The correct answer is B: 'Distended neck veins.' Distended neck veins are a sign of fluid volume excess, indicating an overload of fluids in the body. This can be caused by excessive fluid administration. Hypotension (choice A) is more commonly associated with fluid volume deficit. Slow capillary refill (choice C) and a weak, thready pulse (choice D) are also signs of decreased fluid volume, not fluid volume excess.